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Volume 10, Number 11—November 2004

Enhanced Identification of Postoperative Infections among Outpatients

Andrew L. Miner*†‡, Kenneth E. Sands*‡§, Deborah S. Yokoe*†‡, John Freedman#, Kristin Thompson†, James M. Livingston‡, and Richard Platt*†‡Comments to Author 
Author affiliations: *Harvard Medical School, Boston, Massachusetts, USA; †Harvard Pilgrim Health Care, Boston, Massachusetts, USA; ‡Brigham and Women's Hospital, Boston, Massachusetts, USA; §Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA; #Tufts Health Plan, Watertown, Massachusetts, USA

Main Article

Table 2

Results of medical record reviewa

Characteristic Breast (%) Cesarean (%)
Procedures with possible SSIb 410 (21) 474 (10)
Requested 1 or more records (% of those with possible SSI)c 395 (96) 443 (93)
Records received (% of requested) 295 (75) 342 (77)
Adequate record received (% of requested) 209 (53) 255 (58)
No. among adequate records (% of adequate records)d
Confirmed SSI 38 (18) 82 (32)
Some signs and symptoms of SSI, does not meet criteria 28 (13) 56 (22)
No evidence of SSI
Another infection found, responsible for indicator 9 (4) 38 (15)
SSI indicator explained, not caused by infection 29 (14) 28 (11)
SSI indicator could not be explained 105 (50) 51 (20)

aSSI, surgical site infection.
bFor breast procedures, those with possible SSI are procedures with predicted probability of infection >0.03. For cesarean section, procedures with possible SSI are those with any SSI indicator and no mastitis indicators.
cCommon reasons for not requesting records were the following: member's information restricted, no provider could be identified from claims, or no current contact information could be obtained for a provider.
dBreast procedure outcomes based on 60 postoperative days; cesarean section outcomes based on 30 postoperative days.

Main Article

Page created: January 04, 2013
Page updated: January 04, 2013
Page reviewed: January 04, 2013
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